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• � CITY OF ORONO PERMIT NO.: 2009-00719 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/16/2009 . <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3745 SHORELINE DR <br /> PIN : 20-117-23-21-0025 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 005 BLOCK 007 <br /> PERMIT TYPE : USER DEFINED <br /> PROPERTY TYPE : RELIGIOUS <br /> CONSTRUCTION TYPE : RETAINING WALL <br /> ACTIVITY , g <br /> VALUATION : $ 500.00 <br /> NOTE: RETAINING WALL SITE-GOOD SHEPHERD LUTHERAN CHURCH <br /> APPLICANT RETAINING WALL 25.00 <br /> ERIC BOSER STATE SURCHARGE USER DEFINED 0.25 <br /> 5054 BAYPORT RD TOTAL 25.25 <br /> MOUND,MN 55364 <br /> (612)867-2060 PAID WITH CASH 25.25 <br /> OWNER <br /> CHURCH,GOOD SHEPHERD LUTHERAN <br /> 3745 SHORELINE DR <br /> WAYZATA,MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �.,�-`- S'�_ �v i 16 izoo� �d i � 0 9 <br /> Applicant Permitee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />